Post-Surgery Care for Abscess and Discharge After Fistula and Hemorrhoid Surgery

Q: Post-Surgery Care for Abscess and Discharge After Fistula and Hemorrhoid Surgery

Answer： Without a personal examination, I cannot provide a definitive answer. <br>However, after such a long time post-surgery, the wound should not remain unhealed. <br>I tend to agree with the second physician's opinion that there may be a recurrence of the fistula. <br>It woul

Postoperative purulent discharge from hemorrhoid and fistula surgery?

Since the surgery for fistula and mixed hemorrhoids on December 28, 2018, there has been persistent discharge from the anus.
The original surgeon indicated that this is due to recurrent infection of the internal wound, recommending the application of medication (Xinhuisu) with a finger.
However, there has been no improvement.
Today, I consulted another doctor who noted that there is pus coming from the internal wound and prescribed oral antibiotics for treatment.
However, they mentioned that re-surgery might be necessary.
Could you please advise on how to care for these symptoms? I really want to avoid another surgery.
Is it possible to apply iodine solution?

Tian, 40~49 year old female. Ask Date: 2019/05/01

Dr. Ke Fangxu reply Surgery

Answer: Without a personal examination, I cannot provide a definitive answer.
However, after such a long time post-surgery, the wound should not remain unhealed.
I tend to agree with the second physician's opinion that there may be a recurrence of the fistula.
It would be advisable to start with antibiotic treatment and then reassess whether a second surgery is necessary.
There is no need to apply iodine solution, but continuing warm sitz baths should be beneficial.

Reply Date: 2019/05/01

More Info

Post-surgery care for abscesses and discharge following fistula and hemorrhoid surgery is crucial for promoting healing and preventing further complications. Based on your description, it seems that you are experiencing persistent discharge and possible infection at the surgical site. Here are some recommendations and considerations for managing your condition effectively:
1. Follow-Up with Healthcare Providers: It is essential to maintain regular follow-ups with your healthcare provider. Since you have already consulted two different doctors, it might be beneficial to continue working closely with the one who prescribed antibiotics. If symptoms do not improve, further evaluation may be necessary, including imaging studies or possibly a referral to a specialist.

2. Medication Compliance: If you have been prescribed oral antibiotics, it is crucial to take them as directed. Antibiotics can help control the infection, but they need to be taken for the full course to be effective. Do not stop taking them prematurely, even if you start to feel better.

3. Wound Care: Proper wound care is vital. While your doctor has advised you to apply medication (such as "欣徽素"), ensure that you are doing so in a clean manner. Avoid inserting anything into the wound unless directed by your healthcare provider. Instead of using iodine or alcohol, which can be irritating, stick to the prescribed topical treatments. If you are unsure about the application, consult your doctor for clarification.

4. Hygiene Practices: Maintaining good hygiene is essential to prevent further infection. After bowel movements, gently clean the area with mild soap and water. Avoid using harsh soaps or scrubbing the area, as this can cause irritation. Pat the area dry with a clean towel.

5. Dietary Considerations: A diet high in fiber can help prevent constipation, which is particularly important after anal surgery. Constipation can lead to straining during bowel movements, which may exacerbate your condition. Consider incorporating fruits, vegetables, and whole grains into your diet, and stay well-hydrated.

6. Pain Management: If you are experiencing pain, over-the-counter pain relievers such as acetaminophen or ibuprofen can help manage discomfort. However, consult your doctor before taking any medication, especially if you are on antibiotics.

7. Signs of Complications: Be vigilant for signs of worsening infection, such as increased redness, swelling, warmth, or discharge that is foul-smelling or contains pus. If you notice these symptoms, seek medical attention promptly.

8. Avoiding Further Surgery: Understandably, you wish to avoid further surgery. Communicate your concerns with your healthcare provider. They may explore other treatment options, such as drainage of any abscess or further medical management, before considering surgical intervention.

9. Rest and Recovery: Allow your body time to heal. Avoid strenuous activities that may put pressure on the surgical site. If your job requires physical exertion, discuss potential accommodations with your employer or consider taking time off to facilitate recovery.

In summary, managing post-surgical care for abscesses and discharge involves a combination of proper wound care, adherence to prescribed medications, maintaining good hygiene, and monitoring for signs of complications. Always communicate openly with your healthcare provider about your symptoms and concerns, as they can provide tailored advice and interventions based on your specific situation.

Similar Q&A

Post-Surgery Concerns: Managing Discharge and Bleeding After Fistula Repair

Hello doctor, I had a fistula surgery a month ago. The outside of the wound looks like it has healed, but there is still a little discharge that resembles pus. Is this normal? Also, last week I experienced some bleeding while using the restroom due to hard stools. Will this affec...

Dr. Ke Fangxu reply Surgery
The recovery period after fistula surgery is generally longer, typically requiring one to two months. During this time, there may be discharge from the wound. If the wound has healed but purulent discharge appears, it may indicate a recurrence of the fistula. It is generally reco...

Post-Surgery Concerns After Fistula and Hemorrhoid Surgery: A Guide

Hello Doctor: I underwent a fistulotomy and mixed hemorrhoid surgery on December 28, 2018. It has been almost four months since the procedure. Although I can run and sit for extended periods now, I still have a few concerns: 1. I often notice discharge a few hours after having a ...

Dr. Xu Kaixi reply Surgery
1. If the discharge is not blood-tinged or purulent, it may be intestinal mucosal secretions, and observation is sufficient. 2. It could be a minor tear in the scar tissue from postoperative healing; applying a topical ointment to the wound is adequate.

Post-Surgery Care for External Hemorrhoids: What to Do About Swelling and Discharge

Three days ago, I underwent surgery for mixed hemorrhoids and a fistula. There are two lumps at the anal opening, one large and one small. Today, I rode my motorcycle to work; although it was painful, I managed to sit down. When I got home, I noticed that the larger lump had a ye...

Dr. Ke Fangxu reply Surgery
After hemorrhoid and fistula surgery, the wound cannot be completely healed within three days; there will be discharge for up to a month. It is recommended to maintain local cleanliness and enhance sitz baths. If there is redness, swelling, heat, or pain, please consult a physici...

Post-Surgery Concerns: Managing Drainage After Fistula Surgery

Hello, Director Hsu: I underwent a fistula surgery in Taipei on December 29. After the anal packing was removed on the 30th, I have been experiencing a discharge of blood-tinged fluid, and today, the 31st, I still have this fluid seeping out at home (which has a foul odor). Is th...

Dr. Xu Kaixi reply Surgery
The recovery of the wound after fistula surgery typically takes about one to two weeks. During this period, some bleeding or discharge is normal. It is not recommended to rinse the wound directly with warm water, as this can be more irritating than sitz baths and may not be benef...